Nokea
A 28-year-old female client is prescribed danazol (Danocrine) for endometriosis. The nurse should instruct the client to report:
- A. Headaches.
- B. Weight loss.
- C. Increased libido.
- D. Hair loss.
Correct Answer: D
Rationale: Hair loss is a significant side effect of danazol, a synthetic androgen, and should be reported, as it may indicate need for dose adjustment or alternative treatment.
You may also like to solve these questions
You are working in a community pediatric health clinic. Which developmental task should you apply into your practice?
- A. You should apply the principles of initiative when caring for preschool children.
- B. You should apply the principles of sensorimotor thought when caring for preschool children.
- C. You should apply the principles of intimacy when caring for the adolescent.
- D. You should apply the principles of concrete operations when caring for the adolescent.
Correct Answer: A
Rationale: According to Erikson's developmental stages, preschool children (ages 3-5) are in the stage of Initiative vs. Guilt, where they develop a sense of purpose through exploration and play. This is the appropriate developmental task to apply in a pediatric clinic for this age group.
A 10-year-old child with asthma is prescribed an albuterol inhaler. The nurse should teach the child to:
- A. Use the inhaler daily regardless of symptoms
- B. Rinse the mouth after each use
- C. Inhale rapidly during administration
- D. Use the inhaler before a spacer
Correct Answer: B
Rationale: Rinsing the mouth after using an albuterol inhaler prevents oral irritation and reduces the risk of thrush, especially if used with a corticosteroid.
A client with a history of stroke is at risk for aspiration. Which of the following interventions should the nurse include in the plan of care? Select all that apply.
- A. Position the client upright during meals.
- B. Offer thin liquids to promote swallowing.
- C. Assess the client's gag reflex before feeding.
- D. Provide small, frequent meals.
- E. Thicken liquids as needed.
Correct Answer: A, C, D, E
Rationale: Upright positioning, assessing gag reflex, small frequent meals, and thickened liquids reduce aspiration risk. Thin liquids increase risk.
The 2nd priority needs according to the MAAUAR method of priority setting include which of the following?
- A. Assessment
- B. Movement
- C. Understanding level
- D. Risks
Correct Answer: D
Rationale: The MAAUAR method prioritizes: Mental status, Acute pain, Acute eliminated needs, Urgent needs, Abnormal vital signs, Risks. The second priority is Acute pain, but among the options, Risks aligns as a high-priority need following initial physiological concerns.
A nurse is relieving the triage nurse in the labor and delivery unit who is going to lunch. The report indicates that there are three clients having their vital signs assessed and a fourth client is on her way to the unit from the emergency department. In which order of priority should the nurse manage these clients?
- A. The client with clear vesicles and brown vaginal discharge at 16 weeks' gestation.
- B. The client with right lower quadrant pain at 10 weeks' gestation.
- C. The client who is at term and has had no fetal movement for 2 days.
- D. The client from the emergency department at term and screaming loudly because of labor contractions.
Correct Answer: C,D,A,B
Rationale: The client with no fetal movement at term is the highest priority due to the risk of fetal distress. The client in active labor requires immediate attention. Vesicles and discharge suggest possible infection, and right lower quadrant pain may indicate ectopic pregnancy, both serious but less urgent.